| NPI | 1063766681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: ND R18130) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN R162879-5) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |